Provider Demographics
NPI:1194451104
Name:YORK, PATRICK (RN)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:YORK
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1014 MILL POND DR
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-2601
Mailing Address - Country:US
Mailing Address - Phone:765-653-4397
Mailing Address - Fax:765-653-4514
Practice Address - Street 1:1014 MILL POND DR
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-2601
Practice Address - Country:US
Practice Address - Phone:765-653-4397
Practice Address - Fax:765-653-4514
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28266578A364SL0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care